Full - stack engineer building AI - powered hiring workflows for Homebase’s hourly - team management app. Developing React and Ruby on Rails systems for screening, matching, and onboarding.
About the role
- Lead Engineer owning production software, architecture, and reliability for Outro Health's medication deprescribing platform. Building safe clinical systems while growing the engineering organization.
Responsibilities
- Take primary ownership of engineering as Outro's senior hands-on engineering leader
- Write a large share of production software
- Design, build, and operate clinician tools and patient-facing products
- Develop systems for medication, symptom, and clinical data
- Build insurance and healthcare integrations
- Build internal operations and research systems
- Own infrastructure, reliability, security, privacy, and compliance
- Make patient medication and response information coherent, useful, and safe to act on
- Own technical direction, architecture, engineering standards, delivery, and technical compliance
- Shape approaches to HIPAA, SOC 2, access controls, auditability, and sensitive patient data
- Hire and mentor subsequent engineers
- Introduce useful process without unnecessary bureaucracy
- Collaborate with the Product Lead, founders, clinicians, operators, and designer on product and technical strategy
Requirements
- Strong Senior or Staff Engineer experience at an early-stage healthcare or technology company
- Shipped and operated substantial production systems
- Strong judgment across architecture, data modeling, product engineering, and integrations
- Real product instinct and comfort working through ambiguity
- High standards for reliability, especially where software affects patient care
- Serious experience building with AI tools, and knowledge of where they help and where they fail
- Healthcare or regulated-industry experience is useful, but not required
- TypeScript, Node.js, Next.js, React, Vite, React Native, Postgres, BigQuery, GCP, and Terraform experience
- Ability to work Eastern hours
- Must join in New York City or work remotely within the US or Canada
Benefits
- Equity: 0.5–0.75%
- $1,000 per month through Thatch ($250 more per dependent) to choose your own medical, dental, and vision plan
- 20 days of paid vacation, plus holidays
- Claude, Codex, Cursor, and whatever else you need
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